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NPI Code Detail

MEDICARE: LAURA A TRUAX PA-C, MPAS

MEDICARE: LAURA A TRUAX PA-C, MPAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant4725AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2Z291727OTHERAZMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730499609
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA A TRUAX PA-C, MPAS
Provider Business Mailing Address
First Line : 3815 E BELL RD STE 2200
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-2139
Country : US
Telephone Number : 602-633-3848
Fax Number : 602-633-3841
Provider Business Practice Location Address
First Line : 3815 E BELL RD STE 3200
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-2162
Country : US
Telephone Number : 602-494-5040
Fax Number : 602-494-9736
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2010
Last Update Date : 06/30/2023

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Directions to “ LAURA A TRUAX PA-C, MPAS” Practice Location

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